NPIMap

Individual provider Active NPI

Carrie A Mihordin, D.O.

  • Rheumatology Physician
  • Overland Park, KS
National Provider Identifier
1548458672
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
05-35121 Issued in KS
Practice address
5701 W 119TH St
Ste 209, Mid-America Rheumatology Consultants
Overland Park, KS 66209-3721
Phone
(913) 661-9980
Fax
(913) 661-9173
NPI assigned
Oct 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 05-35121 KS Primary
Rheumatology Physician 207RR0500X 045544 CT

Addresses

Primary practice location

5701 W 119TH St
Ste 209, Mid-America Rheumatology Consultants
Overland Park, KS 66209-3721

Mailing address

5701 W 119TH St
Ste 209, Mid-America Rheumatology Consultants
Overland Park, KS 66209-3721
Phone (913) 661-9980

Other names 1

  • Carrie A Heinen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carrie.mihordin.p1@direct.marc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110817000397 KS Practitioner - Rheumatology 2668658220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-America Rheumatology ConsultantsGroup PAC ID 1951202852, 4 clinicians

Practice addresses (Care Compare)

5701 W 119TH St
Suite 209
Overland Park, KS 66209-3749
Phone 9136619980135

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
045544CTMDRheumatology Physician
05-35121KSMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Imaging Consultants, LLC PastSince Nov 9, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carrie.mihordin.p1@direct.marc.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1548458672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST",
            "address_2": "STE 209, MID-AMERICA RHEUMATOLOGY CONSULTANTS",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "913-661-9980",
            "fax_number": "913-661-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST",
            "address_2": "STE 209, MID-AMERICA RHEUMATOLOGY CONSULTANTS",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "913-661-9980",
            "fax_number": "913-661-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHORDIN",
        "first_name": "CARRIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KS",
            "license": "05-35121",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "045544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carrie.mihordin.p1@direct.marc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "5701 W 119th St",
            "address_2": "Ste 209, Mid-America Rheumatology Consultants",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662093721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "HEINEN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.